Individual provider Active NPI

Millicent Hunchuck, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brownsville, PA
National Provider Identifier
1205969946
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP006876B Issued in PA
Practice address
129 Simpson Rd
Brownsville, PA 15417-9689
Phone
(724) 785-9444
Fax
(724) 785-4911
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP006876B PA Primary

Addresses

Primary practice location

129 Simpson Rd
Brownsville, PA 15417-9689

Mailing address

129 Simpson Rd
Suite 109
Brownsville, PA 15417-9689
Phone (724) 785-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605000028 PA Practitioner - Nurse Practitioner 4284901711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ravindra K. Mehta M.D.Group PAC ID 6204732738, 2 clinicians

Practice addresses (Care Compare)

129 Simpson Rd
Suite 109
Brownsville, PA 15417-9689
Phone (724) 785-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ravindra K. Mehta M.D. CurrentSince Apr 1, 2017 Accepting new patients

Locations

129 Simpson Rd
Ste 109
Brownsville, PA 15417
Phone (724) 785-9444

129 Simpson Rd
Brownsville, PA 15417
Phone (724) 439-4531

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1205969946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SIMPSON RD",
            "address_2": "SUITE 109",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154179689",
            "telephone_number": "724-785-9444",
            "fax_number": "724-785-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SIMPSON RD",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154179689",
            "telephone_number": "724-785-9444",
            "fax_number": "724-785-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNCHUCK",
        "first_name": "MILLICENT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP006876B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, PA

Sources for this page

Verify at the official NPI Registry.